PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC (NPI# 1548534910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548534910 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC |
| Other Organization Name | PIONEER COMMUNITY HOSPITAL OF EARLY |
| Practice Address |
11740 Columbia St Blakely GA 39823-2574 |
| Practice Telephone | 2297234258 |
| Mailing Telephone | 2297234258 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | JOSEPH S MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Pioneer Community Hospital of Early | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154669554 | Pioneer Health Services of Early County, LLC | Clinic/Center | 104 Maxwell St Se, Arlington, GA 39813-8714 | 2013-01-21 |
| 1316323785 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Suite B, Blakely, GA 39823-3474 | 2015-08-07 |
| 1205110814 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Blakely, GA 39823-3474 | 2011-09-30 |
| 1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
| 1386952141 | Pioneer Health Services of Early County, LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-09-15 |
| 1144535212 | Pioneer Health Services of Early County, LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1104131267 | Pioneer Health Services of Early County, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1720393895 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11045 Columbia St, Suite B, Blakely, GA 39823-3447 | 2010-08-13 |
| Street Address |
11740 COLUMBIA ST |
| City | BLAKELY |
| State | GA |
| Zip Code | 39823-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083695498 | Valerie Rebecca Jones | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2005-11-11 |
| 1346893765 | Lifebrite Hospital Group, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2019-07-24 |
| 1467967836 | Stacey R Gale | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-12-07 |
| 1346773363 | Lifebrite Hospital Group of Early LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1194258129 | Lifebrite Hospital Group of Early LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1922531953 | Lifebrite Hospital Group of Early LLC | Pharmacy | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1205368792 | Lifebrite Hospital Group of Early LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-03 |
| 1104358811 | Lifebrite Hospital Group of Early LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-31 |
| 1598297590 | Lifebrite Hospital Group of Early LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-29 |
| 1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
| 1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
| 1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
| 1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
| 1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
| 1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
| 1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
| 1649753773 | Kelly Diane Mccarley | Nurse Practitioner | 1908 Tarver Dr, Blakely, GA 39823-1540 | 2018-09-14 |
| 1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
| 1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
| Find all providers in zip 39823 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205368792 | Lifebrite Hospital Group of Early LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.